Analysis of educational programs on mental health literacy. Documentary review.
- Rebeca Zabaleta-González Universidad de Burgos https://orcid.org/0000-0002-5355-1506
- Fernando Lezcano-Barbero Universidad de Burgos https://orcid.org/0000-0001-7866-071X
- Mª Victoria Perea-Bartolomé Universidad de Salamanca https://orcid.org/0000-0002-0258-8480
Abstract
Introduction. Education and mental health are closely related. Mental health literacy (MHL) education programs provide knowledge about mental health problems, their prevention, and seeking help. They also promote stigma reduction. The objective of this paper is to identify MHL programs described in scientific publications. Methods: Through the documentary review in the WOS and Scopus databases for the period 2000-2018 with use of Spanish and English terms, 355 articles are initially obtained. After screening them according to the inclusion and eligibility criteria, 44 articles are selected that describe 38 MHL educational programs. Results. According to the target group (students, teachers and other groups), the main characteristics (name, age of recipients, language, duration, methodology, country) of 38 MHL educational programs have been described. Discussion. The programs are very diverse in terms of typology, duration and methodological strategies. Direct contact with people with mental illness is a key strategy to combat stigma, despite its reduced use. The interventions are directed mainly to the adolescent population. Mental health can be promoted through a variety of strategies in educational centers.
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Bagnell, A. y Santor, D. (2015). The future of teaching mental health literacy in schools. En S. Kutcher, Y. Wei y M.D. Weist (Eds.), School Mental Health: Global Challenges and Opportunities (46-60). Cambridge University Press.
Beaudry, M.B., Swartz, K., Miller, L., Schweizer, B., Glazer, K. y Wilcox, H. (2019). Effectiveness of the Adolescent Depression Awareness Program (ADAP) on depression literacy and mental health treatment. Journal of school health, 89(3), 165-172. https://doi.org/10.1111/josh.12725
Bella-Awusah, T., Adedokun, B., Dogra, N. y Omigbodun, O. (2014). The impact of a mental health teaching programme on rural and urban secondary school students’ perceptions of mental illness in southwest Nigeria. Journal of Child & Adolescent Mental Health, 26(3), 207-215. https://doi.org/10.2989/17280583.2014.922090
Cabassa, L.J., Oh, H., Humensky, J.L., Unger, J.B., Molina, G.B. y Baron, M. (2015). Comparing the impact on Latinos of a depression brochure and an entertainment-education depression fotonovela. Psychiatric Services, 66(3), 313-316. https://doi.org/10.1176/appi.ps.201400146
Campos, L., Dias, P., Duarte, A., Veiga, E., Dias, C. y Palha, F. (2018). Is it possible to “Find Space for Mental Health” in young people? Effectiveness of a school-based mental health literacy promotion program. International journal of environmental research and public health, 15(7), 1426. https://doi.org/10.3390/ijerph15071426
Casañas, R., Arfuch, V.M., Castellví, P., Gil, J.J., Torres, M., Pujol, A.,... y Caussa, A. (2018). “EspaiJove.net”-a school-based intervention programme to promote mental health and eradicate stigma in the adolescent population: study protocol for a cluster randomised controlled trial. BMC public health, 18(939). https://doi.org/10.1186/s12889-018-5855-1
Casañas, R., Mas-Expósito, L., Teixidó, M. y Lalucat-Jo, L. (2020). Programas de alfabetización para la promoción de la salud mental en el ámbito escolar. Informe SESPAS 2020. Gaceta Sanitaria, 34(1), 39-47. https://doi.org/10.1016/j.gaceta.2020.06.010
Chisholm, K., Patterson, P., Torgerson, C., Turner, E., Jenkinson, D. y Birchwood, M. (2016). Impact of contact on adolescents’ mental health literacy and stigma: the SchoolSpace cluster randomised controlled trial. BMJ open, 6(2). https://doi.org/10.1136/bmjopen-2015-009435
Chisholm, K.E., Patterson, P., Torgerson, C., Turner, E. y Birchwood, M. (2012). A randomised controlled feasibility trial for an educational school-based mental health intervention: study protocol. BMC psychiatry, 12(23). https://doi.org/10.1186/1471-244X-12-23
Crespo-Molero, F. y Sánchez-Romero, C. (2019). Alumnado con Trastorno Mental Grave: análisis de la atención educativa recibida en la Comunidad de Madrid. Psychology, Society, & Education, 11(1), 113-124. https://doi.org/10.25115/psye.v10i1.212
Darraj, H., Mahfouz, M.S., Al Sanosi, R., Badedi, M. y Sabai, A. (2018). The effects of an educational program on depression literacy and stigma among students of secondary schools in Jazan city, 2016: A cluster-randomized controlled trial study protocol. Medicine, 97(18). https://doi.org/10.1097/MD.0000000000009433
Delgado, J.A. (2015). Estrategias psicosociales utilizadas para el cambio de actitud hacia personas discriminadas por su discapacidad o trastorno mental. Revista Española de Discapacidad (REDIS), 3(2), 27-39. https://doi.org/10.5569/2340-5104.03.02.02
Eschenbeck, H., Lehner, L., Hofmann, H., Bauer, S., Becker, K., Diestelkamp, S.,... y ProHEAD Consortium. (2019). School-based mental health promotion in children and adolescents with StresSOS using online or face-to-face interventions: study protocol for a randomized controlled trial within the ProHEAD Consortium. Trials, 20(64). https://doi.org/10.1186/s13063-018-3159-5
Fraser, E. y Pakenham, K.I. (2008). Evaluation of a resilience-based intervention for children of parents with mental illness. Australian and New Zealand Journal of Psychiatry, 42(12), 1041-1050. https://doi.org/10.1080/00048670802512065
Gallardo, I., Leiva, L. y George, M. (2015). Evaluación de la aplicación piloto de una intervención preventiva de salud mental en la escuela: variaciones en la desadaptación escolar y en la disfunción psicosocial adolescente. Psykhe (Santiago), 24(2), 1-13. https://doi.org/10.7764/psykhe.24.2.649
García-Soriano, G. y Roncero, M. (2017). What do Spanish adolescents think about obsessive-compulsive disorder? Mental health literacy and stigma associated with symmetry/order and aggression-related symptoms. Psychiatry research, 250, 193-199. https://doi.org/10.1016/j.psychres.2017.01.080
Giner, E.M. (2011). Proyecto de prevención del trastorno mental grave en adolescentes estudiantes de la E.S.O. del distrito de latina. Revista Digital de Medicina Psicosomática y Psicoterapia, 2(1).
Gladstone, B.M., McKeever, P., Seeman, M. y Boydell, K.M. (2014). Analysis of a support group for children of parents with mental illnesses: Managing stressful situations. Qualitative Health Research, 24(9), 1171-1182. https://doi.org/10.1177/1049732314528068
Guimón, J. (2001). Intervenciones en psiquiatría comunitaria. Core Academic.
Hart, L.M., Jorm, A.F., Kanowski, L.G., Kelly, C.M. y Langlands, R.L. (2009). Mental health first aid for Indigenous Australians: using Delphi consensus studies to develop guidelines for culturally appropriate responses to mental health problems. BMC psychiatry, 9(47). https://doi.org/10.1186/1471-244X-9-47
Hart, L.M., Morgan, A.J., Rossetto, A., Kelly, C.M., Mackinnon, A. y Jorm, A.F. (2018). Helping adolescents to better support their peers with a mental health problem: A cluster-randomised crossover trial of teen Mental Health First Aid. Australian & New Zealand Journal of Psychiatry, 52(7), 638-651. https://doi.org/10.1177/0004867417753552
Hay, P., Mond, J., Paxton, S., Rodgers, B., Darby, A. y Owen, C. (2007). What are the effects of providing evidence‐based information on eating disorders and their treatments? A randomized controlled trial in a symptomatic community sample. Early intervention in psychiatry, 1(4), 316-324. https://doi.org/10.1111/j.1751-7893.2007.00044.x
Hernández-Díaz, J., Paredes-Carbonell, J.J. y Torrens, R.M. (2014). Cómo diseñar talleres para promover la salud en grupos comunitarios. Atención Primaria, 46(1), 40-47. https://doi.org/10.1016/j.aprim.2013.07.006
Hui, C.L., Leung, W.W., Wong, A.K., Loong, K.Y., Kok, J., Hwang, A.,... y Chen, E.Y. (2019). Destigmatizing psychosis: Investigating the effectiveness of a school‐based programme in Hong Kong secondary school students. Early intervention in psychiatry, 13(4), 882-887. https://doi.org/10.1111/eip.12692
Hurley, D., Swann, C., Allen, M.S., Ferguson, H.L. y Vella, S.A. (2020). A systematic review of parent and caregiver mental health literacy. Community mental health journal, 56(1), 2-21.https://doi.org/10.1007/s10597-019-00454-0
Jorm, A.F. (2000). Mental health literacy. The British Journal of Psychiatry, 177(5), 396-401. http://doi.org/10.1192/bjp.177.5.396
Jorm, A.F., Korten, A.E., Jacomb, P.A., Christensen, H., Rodgers, B. y Pollitt, P. (1997). “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical journal of Australia, 166(4), 182-186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x
Kutcher, S., Wei, Y. y Hashish, M. (2016). Mental Health Literacy for Students and Teachers: A “School Friendly” Approach. En M. Hodes y S. Gau (Eds.), Positive Mental Health, Fighting Stigma and Promoting Resiliency for Children and Adolescents (161-172). Academic Press.
Kutcher, S., Wei, Y. y Morgan, C. (2015). Successful application of a Canadian mental health curriculum resource by usual classroom teachers in significantly and sustainably improving student mental health literacy. The Canadian Journal of Psychiatry, 60(12), 580-586. https://doi.org/10.1177/070674371506001209
Kutcher, S., Wei, Y. y Morgan, C. (2016). Mental health literacy in post-secondary students. Health Education Journal, 75(6), 689-697. https://doi.org/10.1177/0017896915610144
Lai, E.S., Kwok, C.L., Wong, P.W., Fu, K.W., Law, Y.W. y Yip, P.S. (2016). The effectiveness and sustainability of a universal school-based programme for preventing depression in Chinese adolescents: A follow-up study using quasi-experimental design. PloS one, 11(2). https://doi.org/10.1371/journal.pone.0149854
Lanfredi, M., Macis, A., Ferrari, C., Rillosi, L., Ughi, E.C., Fanetti, A.,... y Rossi, R. (2019). Effects of education and social contact on mental health-related stigma among high-school students. Psychiatry research, 281. https://doi.org/10.1016/j.psychres.2019.112581
Ling, J., Fen, Y. y Klainin-Yobas, P. (2018). Mental health literacy levels. Archives of psychiatric nursing, 32(5), 757-763. https://doi.org/10.1016/j.apnu.2018.04.007
López, M., Laviana, M., Fernández, L., López, A., Rodríguez, A.M. y Aparicio, A. (2008). La lucha contra el estigma y la discriminación en salud mental: Una estrategia compleja basada en la información disponible. Revista de la Asociación Española de Neuropsiquiatría, 28(1), 48-83.
Loureiro, J. y Brandão, L.M. (2019). Evaluation of the Mental Health First Aid program in undergraduate nursing students. Revista de Enfermagem Referência, 4(20), 9-18.
Loureiro, L.M., de Oliveira, A.M., Mendes, T.M., Pereira, J.C, Aragão, R. y Oliveira, R. (2012). Literacia em saúde mental de adolescentes e jovens: conceitos e desafios. Revista de Enfermagem Referência, 3(6), 157-166. http://dx.doi.org/10.12707/RIII11112
Lu, C., Winkelman, M. y Wong, S.S. (2016). Tablet-based education to reduce depression-related stigma. Health education journal, 75(1), 84-93. https://doi.org/10.1177/0017896914568434
Macaya, X. y Vicente, B. (2019). Alfabetización en salud mental para disminuir la brecha de atención en población adolescente escolarizada. Gaceta Médica Espirituana, 21(1), 70-82.
Macaya, X. y Vicente, B. (2020). Sistema Educativo y Salud Mental: Una Asociación Relevante en Promoción y Prevención para Adolescentes Escolarizados. Eureka. Revista de Investigación Científica en Psicología, 17(1), 162-187.
Mansfield, R., Humphrey, N. y Patalay, P. (2021). Educators’ perceived mental health literacy and capacity to support students’ mental health: associations with school-level characteristics and provision in England. Health Promotion International. https://doi.org/10.1093/heapro/daab010
Mcluckie, A., Kutcher, S., Wei, Y. y Weaver, C. (2014). Sustained improvements in students’ mental health literacy with use of a mental health curriculum in Canadian schools. BMC psychiatry, 14(379). https://doi.org/10.1186/s12888-014-0379-4
Melioli, T., Rispal, M., Hart, L.M., Chabrol, H. y Rodgers, R.F. (2018). French mental health first aid guidelines for eating disorders: an exploration of user characteristics and usefulness among college students. Early intervention in psychiatry, 12(2), 229-233. https://doi.org/10.1111/eip.12369
Monsalve, L., Gallego, J. y Aguilar, J.M. (2013). Estudio analítico-comparado sobre las políticas educativas en educación para la salud en la Unión Europea. Psychology, Society & Education, 5(2), 163-174. https://doi.org/10.25115/psye.v9i1.428
Morgado, T., Loureiro, L. y Rebelo, M. A. (2020). Intervenção psicoeducacional ProLiSMental para adolescentes em contexto escolar: Validade de conteúdo através de e-Delphi modificado. Rev. port. enferm. saúde mental, 43-50. http://dx.doi.org/10.19131/rpesm.0280
Ojio, Y., Foo, J.C., Usami, S., Fuyama, T., Ashikawa, M., Ohnuma, K.,... y Sasaki, T. (2019). Effects of a school teacher‐led 45‐minute educational program for mental health literacy in pre‐teens. Early intervention in psychiatry, 13(4), 984-988. https://doi.org/10.1111/eip.12746
Ojio, Y., Ohnuma, K., Miki, T. y Sasaki, T. (2015). Development of a mental health literacy program for secondary school students in Japan. En S. Kutcher, Y. Wei y M.D. Weist (Eds.), School Mental Health: Global challenges and opportunities (139-50). Cambridge University Press.
Ojio, Y., Yonehara, H., Taneichi, S., Yamasaki, S., Ando, S., Togo, F.,... y Sasaki, T. (2015). Effects of school‐based mental health literacy education for secondary school students to be delivered by school teachers: A preliminary study. Psychiatry and clinical neurosciences, 69(9), 572-579. https://doi.org/10.1111/pcn.12320
Oliveira, S., Carolino, L. y Paiva, A. (2012). Programa saúde mental sem estigma: efeitos de estratégias diretas e indiretas nas atitudes estigmatizantes. Revista Portuguesa de Enfermagem de Saúde Mental, (8), 30-37.
Parikh, S.V., Taubman, D.S., Antoun, C., Cranford, J., Foster, C.E., Grambeau, M.,... y Salazar, S. (2018). The Michigan Peer-to-Peer Depression Awareness Program: school-based prevention to address depression among teens. Psychiatric services, 69(4), 487-491. https://doi.org/10.1176/appi.ps.201700101
Patalay, P., Annis, J., Sharpe, H., Newman, R., Main, D., Ragunathan, T.,... y Clarke, K. (2017). A pre-post evaluation of OpenMinds: a sustainable, peer-led mental health literacy programme in universities and secondary schools. Prevention Science, 18(8), 995-1005. https://doi.org/10.1007/s11121-017-0840-y
Perry, Y., Petrie, K., Buckley, H., Cavanagh, L., Clarke, D., Winslade, M.,... y Christensen, H. (2014). Effects of a classroom-based educational resource on adolescent mental health literacy: A cluster randomised controlled trial. Journal of adolescence, 37(7), 1143-1151. https://doi.org/10.1016/j.adolescence.2014.08.001
Pertegal, M.A., Oliva, A. y Hernando, A. (2010). Los programas escolares como promotores del desarrollo positivo adolescente, Cultura y Educación, 22(1), 53-66. https://doi.org/10.1174/113564010790935169
Pié, A. (2000). Intervenció educativa i salut mental. Educació social. Revista d'intervenció socioeducativa, (16), 91-104.
Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P. y Graham, T. (2003). Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools. The British Journal of Psychiatry, 182(4), 342-346. https://doi.org/10.1192/bjp.182.4.342
Pinto-Foltz, M.D., Logsdon, M.C. y Myers, J.A. (2011). Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Social science & medicine, 72(12), 2011-2019. https://doi.org/10.1016/j.socscimed.2011.04.006
Reavley, N.J., McCann, T.V., Cvetkovski, S. y Jorm, A.F. (2014). A multifaceted intervention to improve mental health literacy in students of a multicampus university: a cluster randomised trial. Journal of Public Mental Health, 13(1), 25-39. https://doi.org/10.1108/JPMH-03-2013-0010
Riebschleger, J., Costello, S., Cavanaugh, D.L. y Grové, C. (2019). Mental health literacy of youth that have a family member with a mental illness: Outcomes from a new program and scale. Frontiers in psychiatry, 10(2). https://doi.org/10.3389/fpsyt.2019.00002
Roca, N., Vega, C. y Alacid, T. (2016). Rompiendo cadenas entre estigma y enfermedad mental. La deconstrucción del estigma desde la acción comunitaria. Atas - Investigação Qualitativa em Ciências Sociais, 3, 86-96.
Rosa, A., Loureiro, L. y Sequeira, C. (2016). Literacia em saúde mental sobre abuso de álcool em adolescentes: Desenvolvimento de um instrumento de medida. Revista Portuguesa de Enfermagem de Saúde Mental, (16), 59-68. http://dx.doi.org/10.19131/rpesm.0158
Ruble, A. E., Leon, P. J., Gilley-Hensley, L., Hess, S. G. y Swartz, K. L. (2013). Depression knowledge in high school students: Effectiveness of the adolescent depression awareness program. Journal of affective disorders, 150(3), 1025-1030. https://doi.org/10.1016/j.jad.2013.05.033
Sanchez, K., Eghaneyan, B.H. y Trivedi, M.H. (2016). Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO): protocol for an educational intervention study. BMC health services research, 16(322). https://doi.org/10.1186/s12913-016-1575-3
Shahraki, A., Panahi, S., Sayarifard, A. y Ashouri, A. (2020). Identifying the prerequisites, facilitators, and barriers in improving adolescents' mental health literacy interventions: A systematic review. Journal of education and health promotion, 9, 322. https://doi.org/10.4103/jehp.jehp_623_20
Singletary, J.H., Bartle, C.L., Svirydzenka, N., Suter-Giorgini, N.M., Cashmore, A.M. y Dogra, N. (2015). Young people’s perceptions of mental and physical health in the context of general wellbeing. Health Education Journal, 74(3), 257-269. https://doi.org/10.1177/0017896914533219
Skre, I., Friborg, O., Breivik, C., Johnsen, L.I., Arnesen, Y. y Wang, C.E.A. (2013). A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC Public Health, 13(873). https://doi.org/10.1186/1471-2458-13-873
Swartz, K., Musci, R.J., Beaudry, M.B., Heley, K., Miller, L., Alfes, C.,... y Wilcox, H.C. (2017). School-based curriculum to improve depression literacy among US secondary school students: A randomized effectiveness trial. American journal of public health, 107(12), 1970-1976.
Torres, M. (2016). Alfabetización en salud mental, estigma e imaginarios sociales. Imagonautas. Revista interdisciplinaria sobre imaginarios sociales, (8), 50-63.
Townsend, L., Musci, R., Stuart, E., Heley, K., Beaudry, M.B., Schweizer, B.,... y Wilcox, H. (2019). Gender differences in depression literacy and stigma after a randomized controlled evaluation of a universal depression education program. Journal of Adolescent Health, 64(4), 472-477. https://doi.org/10.1016/j.jadohealth.2018.10.298
Venkateswaran, C. y Vincent, A.S. (2018). Community Model of Mental Health Promotion-Its Relevance in Education-The Story of MEHAC in India. International Journal of Innovation, Creativity and Change, 4(3). 117-124
Wei, Y., Baxter, A. y Kutcher, S. (2019). Establishment and validation of a mental health literacy measurement in Canadian educators. Psychiatry research, 279, 231-236. https://doi.org/10.1016/j.psychres.2019.03.009
Wei, Y., Hayden, J.A., Kutcher, S., Zygmunt, A. y McGrath, P. (2013). The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Intervention in Psychiatry, 7(2), 109-121. https://doi.org/10.1111/eip.12010
Winston, J., Barbosa, J. C. y Rodríguez, M. (2013). Revisión y análisis documental para estado del arte: una propuesta metodológica desde el contexto de la sistematización de experiencias educativas. Investigación Bibliotecológica: archivonomía, bibliotecología e información, 27(61), 83-105. https://doi.org/10.1016/S0187-358X(13)72555-3
Wyn, J., Cahill, H., Holdsworth, R., Rowling, L. y Carson, S. (2000). MindMatters, a whole-school approach promoting mental health and wellbeing. Australian & New Zealand Journal of Psychiatry, 34(4), 594-601. https://doi.org/10.1080/j.1440-1614.2000.00748.x
Yamaguchi, S., Foo, J.C., Nishida, A., Ogawa, S., Togo, F. y Sasaki, T. (2019). Mental health literacy programs for school teachers: A systematic review and narrative synthesis. Early intervention in psychiatry, 14(1), 14-25. https://doi.org/10.1111/eip.12793
Yamaguchi, S., Ojio, Y., Clifford, J., Michigami, E., Usami, S., Fuyama, T., ... y Sasaki, T. (2020). A quasi-cluster randomized controlled trial of a classroom-based mental health literacy educational intervention to promote knowledge and help-seeking/helping behavior in adolescents. Journal of Adolescence, 82, 58-66. https://doi.org/10.1016/j.adolescence.2020.05.002
Yang, J., Cervera, R.L., Tye, S.J., Ekker, S.C. y Pierret, C. (2018). Adolescent mental health education InSciEd Out: a case study of an alternative middle school population. Journal of translational medicine, 16(84). https://doi.org/10.1186/s12967-018-1459-x
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